Profile of Mothers of Children with Fetal Alcohol Spectrum Disorder: A Population-Based Study in Canada
Objective: To compare the characteristics of mothers of children with Fetal Alcohol Spectrum Disorder (FASD) with mothers of typically developing control children. Methods: The study utilized a cross-sectional, observational design, using active case ascertainment. Biological mothers were interviewe...
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doaj-4bcdf2d836074ada9d6200c21dc5813f2020-11-25T03:08:29ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012020-10-01177986798610.3390/ijerph17217986Profile of Mothers of Children with Fetal Alcohol Spectrum Disorder: A Population-Based Study in CanadaSvetlana Popova0Shannon Lange1Valerie Temple2Vladimir Poznyak3Albert E. Chudley4Larry Burd5Margaret Murray6Jürgen Rehm7Centre for Addiction and Mental Health, Institute for Mental Health Policy Research, 33 Ursula Franklin Street, Toronto, ON M5S 2S1, CanadaCentre for Addiction and Mental Health, Institute for Mental Health Policy Research, 33 Ursula Franklin Street, Toronto, ON M5S 2S1, CanadaSurrey Place, 2 Surrey Place, Toronto, ON M5S 2C2, CanadaDepartment of Mental Health and Substance Abuse, World Health Organization, 20 Avenue Appia, CH-1211 Geneva, SwitzerlandDepartment of Paediatrics and Child Health, University of Manitoba, 840 Sherbrook Street, Winnipeg, MB R3A 1S1, CanadaNorth Dakota Fetal Alcohol Syndrome Center, Pediatrics Department, 1301 N Columbia Rd, Stop 9037 Grand Forks, ND 58202-9037, CanadaNational Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, MD 20892, USACentre for Addiction and Mental Health, Institute for Mental Health Policy Research, 33 Ursula Franklin Street, Toronto, ON M5S 2S1, CanadaObjective: To compare the characteristics of mothers of children with Fetal Alcohol Spectrum Disorder (FASD) with mothers of typically developing control children. Methods: The study utilized a cross-sectional, observational design, using active case ascertainment. Biological mothers were interviewed using a standardized retrospective questionnaire to collect data on demographics, living environment, pregnancy history, nutrition, alcohol and other drug use prior to and following pregnancy recognition. Results: A total of 173 mothers were interviewed. Of these, 19 had a child who was diagnosed with FASD, five had a child who had received a deferred FASD diagnosis, and 37 had children who were selected into the control group as typically developing children. The remaining 112 mothers had children who did not meet diagnostic criteria for FASD. The mothers of children with FASD did not differ significantly from mothers of the control group children with respect to age, ethnicity, marital status, and employment status at the time of pregnancy. However, mothers of children with FASD had lower levels of education (<i>p</i> < 0.01) and were more likely to have received financial support (<i>p</i> < 0.05) at the time of pregnancy, to have smoked tobacco (<i>p</i> < 0.001), and to have used marijuana or hashish (<i>p</i> < 0.01) prior to pregnancy recognition, compared with mothers of control children. All mothers of children with FASD reported alcohol consumption prior to pregnancy recognition; however, only 10.5% reported alcohol consumption following pregnancy recognition. None of the mothers interviewed reported any drug use following pregnancy recognition. Conclusions: Population-based preventive interventions, including repeated screening, monitoring, and education regarding the effects of alcohol use, as well as other substances, before and during pregnancy, are needed to eliminate risk for FASD and other negative consequences on child and maternal health.https://www.mdpi.com/1660-4601/17/21/7986maternal characteristicspregnancyprenatal alcohol exposurefetal alcohol syndromefetal alcohol spectrum disorder |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Svetlana Popova Shannon Lange Valerie Temple Vladimir Poznyak Albert E. Chudley Larry Burd Margaret Murray Jürgen Rehm |
spellingShingle |
Svetlana Popova Shannon Lange Valerie Temple Vladimir Poznyak Albert E. Chudley Larry Burd Margaret Murray Jürgen Rehm Profile of Mothers of Children with Fetal Alcohol Spectrum Disorder: A Population-Based Study in Canada International Journal of Environmental Research and Public Health maternal characteristics pregnancy prenatal alcohol exposure fetal alcohol syndrome fetal alcohol spectrum disorder |
author_facet |
Svetlana Popova Shannon Lange Valerie Temple Vladimir Poznyak Albert E. Chudley Larry Burd Margaret Murray Jürgen Rehm |
author_sort |
Svetlana Popova |
title |
Profile of Mothers of Children with Fetal Alcohol Spectrum Disorder: A Population-Based Study in Canada |
title_short |
Profile of Mothers of Children with Fetal Alcohol Spectrum Disorder: A Population-Based Study in Canada |
title_full |
Profile of Mothers of Children with Fetal Alcohol Spectrum Disorder: A Population-Based Study in Canada |
title_fullStr |
Profile of Mothers of Children with Fetal Alcohol Spectrum Disorder: A Population-Based Study in Canada |
title_full_unstemmed |
Profile of Mothers of Children with Fetal Alcohol Spectrum Disorder: A Population-Based Study in Canada |
title_sort |
profile of mothers of children with fetal alcohol spectrum disorder: a population-based study in canada |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2020-10-01 |
description |
Objective: To compare the characteristics of mothers of children with Fetal Alcohol Spectrum Disorder (FASD) with mothers of typically developing control children. Methods: The study utilized a cross-sectional, observational design, using active case ascertainment. Biological mothers were interviewed using a standardized retrospective questionnaire to collect data on demographics, living environment, pregnancy history, nutrition, alcohol and other drug use prior to and following pregnancy recognition. Results: A total of 173 mothers were interviewed. Of these, 19 had a child who was diagnosed with FASD, five had a child who had received a deferred FASD diagnosis, and 37 had children who were selected into the control group as typically developing children. The remaining 112 mothers had children who did not meet diagnostic criteria for FASD. The mothers of children with FASD did not differ significantly from mothers of the control group children with respect to age, ethnicity, marital status, and employment status at the time of pregnancy. However, mothers of children with FASD had lower levels of education (<i>p</i> < 0.01) and were more likely to have received financial support (<i>p</i> < 0.05) at the time of pregnancy, to have smoked tobacco (<i>p</i> < 0.001), and to have used marijuana or hashish (<i>p</i> < 0.01) prior to pregnancy recognition, compared with mothers of control children. All mothers of children with FASD reported alcohol consumption prior to pregnancy recognition; however, only 10.5% reported alcohol consumption following pregnancy recognition. None of the mothers interviewed reported any drug use following pregnancy recognition. Conclusions: Population-based preventive interventions, including repeated screening, monitoring, and education regarding the effects of alcohol use, as well as other substances, before and during pregnancy, are needed to eliminate risk for FASD and other negative consequences on child and maternal health. |
topic |
maternal characteristics pregnancy prenatal alcohol exposure fetal alcohol syndrome fetal alcohol spectrum disorder |
url |
https://www.mdpi.com/1660-4601/17/21/7986 |
work_keys_str_mv |
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